EyeWorld India June 2019 Issue

EWAP JUNE 2019 15 FEATURE %CTGHWN OCTMKPI QH VJG JQTK\QPVCN CZKU KP C UWRKPG RQUKVKQP KU QH VJG WVOQUV KORQTVCPEG 6JG VQTKE OCTMKPI NKPGU QP VJG VQTKE +%. CTG WUGHWN VQ EQTTGEV VJG CUVKIOCVKUO KP VJG TKIJV CZKU -œÕÀVi >®\ ÀˆŽ iÀÌi˜Ã] said. He has a published nomogram based on sulcus- to-sulcus measurement to «Àœ«iÀÞ Èâi ̅i i˜Ã° Î “There >Ài vœÕÀ Èâià ̜ V…œœÃi vÀœ“] >˜` ÕȘ} ՏÌÀ>Ü՘` Lˆœ“ˆVÀœÃVœ«Þ Q1 R] “Þ È∘} ˆÃ “œÀi >VVÕÀ>Ìi ̅>˜ >˜Þ œÌ…iÀ ÌiV…˜ˆµÕi >Û>ˆ>Li]»…i Ã>ˆ`° He also still uses the Online >VՏ>̈œ˜ >˜` "À`iÀˆ˜} -ÞÃÌi“ vÀœ“ -/ƂƂ, -ÕÀ}ˆV> vœÀ spherical and astigmatic power calculation. À° *>ÀŽ…ÕÀÃÌ >Ãœ ÕÃià 1 ÌiV…˜œœ}Þ Ìœ “i>ÃÕÀi È∘}° º/…i 1…>à Lii˜ >˜ important tool to get the sizing Àˆ}…Ì]»…i Ã>ˆ`° 3. Stay aware of potential sizing mishaps. -ˆâˆ˜} œv ̅i ˆÃ ̅i Lˆ}}iÃÌ V…>i˜}i œv ̅i i˜Ã] >VVœÀ`ˆ˜} ̜ À° *>ÀŽ…ÕÀÃÌ] noting that a too big lens could i>` ̜ "* ÀˆÃiÃ] «Õ«ˆ>ÀÞ LœVŽ] œÀ >˜}i VœÃÕÀi° º ˜ ̅i wÀÃÌ Ó{…œÕÀÃ] ̅i ÃÕÀ}iœ˜ ˜ii`à ̜ …>Ûi ̅iˆÀ Vi «…œ˜i œ˜ >˜` ˆv the patient has pain, nausea, œÀ >…i>`>V…i] ̅iÞ Ã…œÕ` V> ˆ““i`ˆ>ÌiÞ° /…ˆÃ ÕÃÕ>Þ ˆ˜`ˆV>Ìià ̅i Ü>à œÛiÀÈâi` >˜` ̅>Ì Ì…i >˜}i ˆÃ VœÃi`]»…i Ã>ˆ`° v ̅i ˆÃ ̜œ Ó> >˜` ˜œÌ ÃÕvwVˆi˜ÌÞ ˆ˜ ̅i ÃՏVÕÃ] ̅i ˆÃ >Ì ÀˆÃŽ œv ÀœÌ>̈œ˜° º Ìi “Þ «>̈i˜Ìà ˆÌ½Ã ˆŽi œ`ˆœVŽÃ° /…i È∘} ˜ii`à ̜ Li ÕÃÌ Àˆ}…Ì]» À° *>ÀŽ…ÕÀÃÌ Ã>ˆ`° 4. Consider vertex distance of the refraction. /…ˆÃ “>Þ not be important with lower “Þœ«iÃ] LÕÌ ˆÌ V>˜ “>Ži > `ˆvviÀi˜Vi ܈̅…ˆ}…iÀ “Þœ«iÃ] À° *>ÀŽ…ÕÀÃÌ Ã>ˆ`° º/…>Ì ÃÕL̏i £ œÀ Ó ““ œv `ˆÃÌ>˜Vi V>˜ ̅ÀœÜ ̅ˆ˜}à œvv È}˜ˆwV>˜ÌÞ]»…i Ã>ˆ`° º7i œvÌi˜ i“«œÞ > Vœ˜Ì>VÌ i˜Ã œÛiÀÀivÀ>V̈œ˜] Ü i̽à Ã>Þ Ãœ“iœ˜i ˆÃ q£Ó ] Üi½` «ÕÌ ˆ˜ > q£ä i˜Ã >˜` ÀivÀ>VÌ Ìœ q Ó vÀœ“ ̅iÀi° /…>Ì “ˆ˜ˆ“ˆâià ̅i ivviVÌ œv ÛiÀÌiÝ Ìœ }iÌ Ì…i ÀivÀ>V̈œ˜ Àˆ}…Ì°» 5. Eliminate dry eye in advance. This can help iÝVÕ`i ÀivÀ>V̈Ûi iÀÀœÀÃ] Ã>ˆ` À° iÀÌi˜Ã] ܅œ >Ãœ ÕÃià anterior and posterior corneal ̜«œ}À>«…Þ ̜ Ài`ÕVi ̅i V…>˜Vi œv ÃÕÀ}ˆV> ÃÕÀ«ÀˆÃið 6. Educate patients in advance on visual quality. *>̈i˜Ìà ܈̅ŽiÀ>̜Vœ˜Õà œÀ ÃÕLVˆ˜ˆV> ŽiÀ>̜Vœ˜Õà “>Þ Ã̈…>Ûi ܓi >Ã̈}“>̈Ó] À° Õ}iÀ Ã>ˆ`° v ̅iÃi «>̈i˜Ìà >Ài used to wearing scleral or gas «iÀ“i>Li Vœ˜Ì>VÌ i˜ÃiÃ] ̅iÞ “>Þ Li `ˆÃÃ>̈Ãwi` ܈̅̅i ̜ÀˆV ۈÃÕ> µÕ>ˆÌÞ° iÌ «>̈i˜Ìà Ž˜œÜ >LœÕÌ Ì…ˆÃ «œÌi˜Ìˆ> œÕÌVœ“i] >˜` Ìi ̅i“ ̅>Ì Ì…iÞ “>Þ ˜œÌ Li >Li ̜ Üi>À ̅iÃi i˜Ãià >vÌiÀ ˆ“«>˜Ì>̈œ˜° One additional pearl ˜ >``ˆÌˆœ˜ ̜ ̅i ÃÕÀ}ˆV> i>À˜ˆ˜} VÕÀÛi] À° œÕ}…iÀÌÞ shared one more suggestion to “>݈“ˆâi ޜÕÀ ÕÃi œv ̅i ̜ÀˆV ° Beef up your marketing. /…iÀi½Ã œLۈœÕÃÞ > œÌ “œÀi >Ü>Ài˜iÃà >LœÕÌ Ƃ- ] À° œÕ}…iÀÌÞ Ã>ˆ`] LÕÌ Ü…i˜ Vœ˜ÃՓiÀà Ž˜œÜ ܓiœ˜i ܈̅ ̅i ] ̅iÞ >Ài “œÀi i>}iÀ ̜ LœœŽ ̅i `>Þ œv Vœ˜ÃՏÌ>̈œ˜Ã than those hearing about ̅i ÌiV…˜œœ}Þ vœÀ ̅i wÀÃÌ time, he explained. To boost >Ü>Ài˜iÃÃ]…ˆÃ «À>V̈Vi “>ÀŽiÌà ̅i 6ˆÃˆ>˜ œ˜ ˆÌà ÜiLÈÌi] through social media, to their œ«Ìœ“iÌÀˆÃÌ ˜iÌܜÀŽ] >˜` `ˆÀiVÌÞ Ìœ Vœ˜ÃՓiÀà ̅ÀœÕ}… «ÕLˆV Ài>̈œ˜Ã ivvœÀÌð EWAP References £° *>ÀŽ…ÕÀÃÌ ° Ƃ «ÀœÃ«iV̈Ûi Vœ“«>ÀˆÃœ˜ œv «…>ŽˆV Vœ>“iÀ i˜Ãià >˜` Ü>ÛivÀœ˜Ì‡œ«Ìˆ“ˆâi` >ÃiÀ‡>ÃÈÃÌi` ˆ˜ ÈÌÕ ŽiÀ>̜“ˆiÕÈà vœÀ VœÀÀiV̈œ˜ œv “Þœ«ˆ>° Clin Ophthalmol ° Óä£ÈÆ£ä\£Óä™q£x° Ó° iÀÌi˜Ã ° *œÃÌiÀˆœÀ…>“LiÀ /œÀˆV “«>˜Ì>Li œ>“iÀ i˜Ãià q ˆÌiÀ>ÌÕÀi Review. Astigmatism – Optics, Physiology and Management ° Óä£Ó\£n£q£™Ó° ΰ œÕ}…iÀÌÞ * ] iÌ >° “«ÀœÛˆ˜} >VVÕÀ>VÞ œv «…>ŽˆV ˆ˜ÌÀ>œVՏ>À i˜Ã È∘} ÕȘ}…ˆ}…‡vÀiµÕi˜VÞ ÕÌÀ>Ü՘` Lˆœ“ˆVÀœÃVœ«Þ° J Cataract Refract Surg . Ó䣣ÆÎÇ\£Îqn°